Eyelid - Facial Rejuvenation Centre


Eyelid - Facial Rejuvenation Centre

The Facial Rejuvenation Centre Surgery

Anesthesia Operating Room Suite

Deirdre Leake, M.D.



Few would argue that the eyes are one of the most expressive features of the face. It stands to reason, therefore, that

blepharoplasty (BLEF-AR-OH-PLASTY) can affect one’s appearance as dramatically as any facial plastic surgery.

Blepharoplasty is a safe, effective procedure accomplished to restore a more youthful appearance and less fatigued look while

maintaining or improving function. Performed to remove excessive skin and fat around the eyelids, blepharoplasty is one of the

most common facial rejuvenation procedures. Once thought a beauty procedure sought by only wealthy women, men and women

in today’s competitive corporate workplace are increasingly seeking facial procedures to restore a younger look that more typifies

their energy level.


At your preoperative appointment our nurse will provide all the instructions for you to follow before and after surgery. We will

call the day before to confirm your time to arrive for surgery. An eyelid lift (either upper or lower eyelids) takes about an hour

each, depending on the structure and amount of tissue prior to surgery. If you are having a combination of procedures, your

surgery will take longer. Recovery time takes about an hour and we will call your ride about half an hour before you are ready to



1. Please avoid any aspirin, aspirin-containing products, or ibuprofen (Advil, Aleve, etc.) for one week prior to and two

weeks following your surgery. See our “Medication List” for products to avoid prior to surgery. If you are on any

medications that affect bleeding (such as coumadin or warfarin) please notify the office immediately.

2. Please refrain from tobacco products and alcohol for one week prior and three weeks following surgery. Along with

delayed wound healing, persistent skin redness and other complications may persist when tobacco and alcohol are not


3. Please notify us of all routine medications and significant health history. We ask that you remain on your daily

medications unless instructed otherwise. At the preoperative appointment, our nurse will tell you which daily

medications to take the morning of surgery.

4. At your preoperative appointment you will be given prescriptions for use before and after surgery including an oral

antibiotic, antibiotic eye drops or ointment and pain medications. Please obtain these prescription medications before

your surgery and bring them with you the day of surgery.

5. We will ask you to take Arnica, a natural herb that significantly decreases bruising, before and after surgery. We will also

ask you to take 1500 mg of Vitamin C (ascorbic acid), which helps promote healing, before and after surgery.

6. You may not eat or drink after midnight the evening before the procedure unless instructed otherwise. You may brush

your teeth. Your procedure will be cancelled if you do not follow these instructions.

7. Remove all make-up and nail polish before arriving for your procedure.

8. It is not required that a family member or friend stay at the surgical center during your surgery, we will need a number

where they can be reached when you are ready to leave. Someone will need to drive you home after your surgery and

stay with you that evening. Transportation to the office the day following surgery is also required.


As you become more aware after surgery you will notice iced saline pads on your eyes. These help to minimize swelling and

bruising. Your vision will be blurry due to the eye ointment that was placed in your eyes after surgery. You may also notice that

tears run down your cheeks, which is due to swelling and will subside during the first week following surgery. Prior to leaving we

will manage any discomfort you may be experiencing and give instructions to the person who will be caring for you.

The Facial Rejuvenation Centre

1750 Tree Blvd., Suite 10, St. Augustine, FL 32084 904.810.5434 www.frcentre.com


First 48 hours

1. Place frozen peas, ice packs or ice water soaked pads on eyes, changing every hour for 20 minutes.

2. Keep head elevated.

3. Reduce activity to decrease chance of bleeding or wound opening, swelling and nausea. Absolutely no bending,

lifting or straining.

4. Take medications as prescribed.

5. Call the office immediately if you experience swelling accompanied by excessive bruising and pain, especially if it

occurs on one side.

Next Day After Surgery

1. You will be asked to come to our office the following day for your first postoperative appointment.

Wound Care

For 48 hours after surgery, keep ice water soaked pads on eyes, changing pads every hour for 20 minutes. Pads should be slightly

wet, do not wring out completely. It is the weight of the water as well as the temperature that helps minimize swelling. A small

bag of frozen peas or corn may also be used on top of the eye pads. Make sure the bag is not placed directly on the skin. Use a

washcloth or towel between the bag and your skin.

At bedtime clean any excess ointment off sutures with a Q-tip. Then apply the eye ointment (most commonly polysporin

ophthalmic) on the eyelid sutures and inside the lower eyelid. Until the sutures are removed, you will apply the eye ointment two

times a day (morning and evening) to the sutures. It is only necessary to apply the ointment inside the lower eyelid at bedtime.

Oitment inside the lower eyelid will make vision blurry, so best to do this immediately prior to retiring for the evening. Sutures

that have been kept lubricated are less painful to remove.


1. Most patients complain of discomfort more than pain. Use pain medication as directed/needed.

2. Do not drive or drink alcohol while taking pain medication.

3. Taking pain medication with food helps minimize nausea sometimes associated with pain medications.

4. Start your antibiotic the evening of surgery.

5. Take Vitamin C (ascorbic acid) that helps promote healing, for two weeks following surgery.

6. Take Arnica, a natural herb that significantly decreases bruising for 3 days following surgery.


A small amount of bleeding on the dressing is normal. If you have persistent bleeding relax and reduce activity. If bleeding

persists call our office (904)810-5434, or call Dr. Leake on her cell phone which will be provided day of surgery.

Healing Care

1. Rest (both physical and mental) and adequate nutrition are important factors in healing, so eat well and take it easy

for a few weeks.

2. Numbness, tingling, swelling, itching, discoloration, bumpiness, hardness, crusting, tightness and redness around the

incisions are normal and should go away with full healing.

3. Avoid sun exposure as much as possible for three months, as it can cause swelling or an uneven change in

pigmentation. Wear a hat and sunblock (UVA and UVB block). Full healing takes two to three months.


Advance diet from liquids to soft foods (oatmeal, French toast, yogurt, soup, pasta, baked potato) to your regular diet as tolerated.


Rest for entire day of surgery. Sleep with head of the bed elevated or use two to three pillows for one week after surgery.

Absolutely no bending, lifting or straining. If you have little children, bend at the knees or sit on the floor and let them climb on to

your lap. No driving for one week following surgery. Two weeks off work is recommended.

The Facial Rejuvenation Centre

1750 Tree Blvd., Suite 10, St. Augustine, FL 32084 904.810.5434 www.frcentre.com

You may wash your face gently with a mild soap and water (Dove or Neutrogena or the products we may supply). Avoid vigorous

scrubbing. You may be instructed to wash your hair with a mild shampoo (eg. Johnson’s Baby Shampoo) 1-2 days after your

procedure. Do not use a hot hair dryer.

Please notify the office 810-5434 and ask for our nurse for any concerns. For an emergency after regular business hours,

please call Dr. Leake on her cell phone. That number will be provided to you after surgery along with additional

instructions on medication.

Please Remember!

Tearing, bruising, swelling, eye fatigue and disrupted sleep are very normal postoperative symptoms and will decrease as the

healing process occurs. Since vision is temporarily compromised, assistance with daily activities is recommended.

Final Result

Following facelift surgery it takes time for the swelling to subside and for the skin to heal. Most patients return to work two weeks

following surgery, however three weeks is ideal, depending on the degree of privacy one is trying to maintain. At three weeks

postoperatively, swelling and bruising may be apparent to you but not to many of your coworkers and closest friends.

The Facial Rejuvenation Centre

1750 Tree Blvd., Suite 10, St. Augustine, FL 32084 904.810.5434 www.frcentre.com

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